Overview
Pathologic myopia, also called high myopia, is more than just “needing very strong glasses.” In severe cases, the eye continues to stretch and change shape over time, which can damage the retina, macula, optic nerve, and supporting tissues. This study examined whether the three-dimensional shape of the eye, measured with high-resolution magnetic resonance imaging (MRI), could help predict long-term outcomes over 15 years in people with high myopia.
The central finding was that eye shape matters. Certain abnormal globe shapes, especially nasally distorted and conical eyes, were linked to faster eye elongation and a higher risk of macular thinning, myopic macular degeneration, and visual field problems.
